Cardiometabolic health improvements upon dietary intervention are driven by tissue-specific insulin resistance phenotype : A precision nutrition trial

Copyright © 2022 The Author(s). Published by Elsevier Inc. All rights reserved..

Precision nutrition based on metabolic phenotype may increase the effectiveness of interventions. In this proof-of-concept study, we investigated the effect of modulating dietary macronutrient composition according to muscle insulin-resistant (MIR) or liver insulin-resistant (LIR) phenotypes on cardiometabolic health. Women and men with MIR or LIR (n = 242, body mass index [BMI] 25-40 kg/m2, 40-75 years) were randomized to phenotype diet (PhenoDiet) group A or B and followed a 12-week high-monounsaturated fatty acid (HMUFA) diet or low-fat, high-protein, and high-fiber diet (LFHP) (PhenoDiet group A, MIR/HMUFA and LIR/LFHP; PhenoDiet group B, MIR/LFHP and LIR/HMUFA). PhenoDiet group B showed no significant improvements in the primary outcome disposition index, but greater improvements in insulin sensitivity, glucose homeostasis, serum triacylglycerol, and C-reactive protein compared with PhenoDiet group A were observed. We demonstrate that modulating macronutrient composition within the dietary guidelines based on tissue-specific insulin resistance (IR) phenotype enhances cardiometabolic health improvements. Clinicaltrials.gov registration: NCT03708419, CCMO registration NL63768.068.17.

Medienart:

E-Artikel

Erscheinungsjahr:

2023

Erschienen:

2023

Enthalten in:

Zur Gesamtaufnahme - volume:35

Enthalten in:

Cell metabolism - 35(2023), 1 vom: 03. Jan., Seite 71-83.e5

Sprache:

Englisch

Beteiligte Personen:

Trouwborst, Inez [VerfasserIn]
Gijbels, Anouk [VerfasserIn]
Jardon, Kelly M [VerfasserIn]
Siebelink, Els [VerfasserIn]
Hul, Gabby B [VerfasserIn]
Wanders, Lisa [VerfasserIn]
Erdos, Balázs [VerfasserIn]
Péter, Szabolcs [VerfasserIn]
Singh-Povel, Cécile M [VerfasserIn]
de Vogel-van den Bosch, Johan [VerfasserIn]
Adriaens, Michiel E [VerfasserIn]
Arts, Ilja C W [VerfasserIn]
Thijssen, Dick H J [VerfasserIn]
Feskens, Edith J M [VerfasserIn]
Goossens, Gijs H [VerfasserIn]
Afman, Lydia A [VerfasserIn]
Blaak, Ellen E [VerfasserIn]

Links:

Volltext

Themen:

Cardiometabolic health
Dietary intervention trial
Glucose homeostasis
Insulin
Journal Article
Metabotyping
Precision nutrition
Randomized Controlled Trial
Research Support, Non-U.S. Gov't
Tissue-specific insulin resistance

Anmerkungen:

Date Completed 13.01.2023

Date Revised 13.02.2023

published: Print

ClinicalTrials.gov: NCT03708419

Citation Status MEDLINE

doi:

10.1016/j.cmet.2022.12.002

funding:

Förderinstitution / Projekttitel:

PPN (Katalog-ID):

NLM35110495X